The Majority of US Combat Casualty Soft-Tissue Wounds are not Infected or Colonized Upon Arrival or during Treatment at a Continental US Military Medical Facility
Abstract
BACKGROUND: The microbiology of war wounds has changed as medicine and warfare have evolved. This study was designed to detennine the microbial flora and bacterial quantification of present-day war wounds in US troops from Iraq and Afghanistan upon arrival at the National Naval Medical Center (NNMC). METHODS: Patients with extremity combat wounds treated with a vacuum-assisted wound closure device were enrolled in study. Wounds were biopsied every 48 to 72 hours with quantitative microbiology performed on all biopsies. RESULTS: Two hundred forty-two wound biopsies from 34 patients; 167 (69%) showed no growth and 75 (31%) showed positive growth. The incidence of any bacterial isolation from biopsies weekly from the time of injury was 28% (first), 31% (second), and 37% (2:third). Acinetobacter baumannii was the most prevalent isolate. CONCLUSIONS: Most soft-tissue wounds from Iraq and Afghanistan do not have significant bacterial burden upon arrival to and during initial treatment at NNMC. Improved evaluation of combat wound microbiology at all levels of care is warranted to detennine shifts in microbiology and to impact care practices.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2010
- Accession Number
- ADA551843
Entities
People
- David W. Craft
- Forest R. Sheppard
- Fred Gage
- Jason Hawksworth
- Kyle Petersen
- Martin Robson
- Matt Kasper
- Paul Keiser
- Stephanie Sincock
- Trevor S. Brown
Organizations
- Naval Medical Research Center